Hosan Park, D.D.S
Periodontics · Kent, WA
Hosan Park, D.D.S is a periodontics with a practice address in Kent, Washington, and NPI 1104363019, issued on Jan 30, 2017. Check the license (Washington DE60722033, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Hosan Park
- Credential
- D.D.S
- Primary taxonomy
- Periodontics 1223P0300X
- License numbers
- DE60722033 WA
019.031420 IL
Self-reported in NPPES; status is on the state search - Practice location
- 25610 104TH Ave SE, Kent, WA 98030
- Phone
- (253) 850-9777
- Enumerated
- Jan 30, 2017
- Record last updated
- Apr 14, 2018 (not updated in 8 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 25610 104TH Ave SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tameem Anwar, DDSGeneral Practice Dentistry1104999853
- Peter ChungGeneral Practice Dentistry1063726719
- Benjamin Dorantes, DDSGeneral Practice Dentistry1144393893
- Thomas FaberPeriodontics1376607465
- Julie Kim, D.M.D.General Practice Dentistry1447636618
- Shruthi VenugopalakrishnanGeneral Practice Dentistry1154127710
Verify Hosan Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license DE60722033Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Periodontics providers in Washington
There are 184 periodontics records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other periodontics records in Washington
- Jessica Adams, DDS MSDSeattle, WA1730460924
- Steven Aeschliman, D.D.S.Spokane, WA1538256854
- Peter Agnos, D.D.S.Everett, WA1689659245
- Ken Akimoto, DDSIssaquah, WA1992811541
- Huda Albather, DDS,MDS,MPHBellevue, WA1114049574
- Abdullah Alkanan, BDSKennewick, WA1407274202
- Charles Anderegg, DDSBellevue, WA1942397435
- Lena Arvidson, DDS, MSBainbridge Island, WA1255325247
- David Au-Yeung, DMDIssaquah, WA1982841425
- David Baker, D.D.S.Bellingham, WA1669594628
Common questions
What is Hosan Park, D.D.S's NPI number?
Hosan Park, D.D.S's National Provider Identifier (NPI) is 1104363019, issued on Jan 30, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Hosan Park, D.D.S located?
The NPPES record lists a practice address at 25610 104TH Ave SE, Kent, WA, 98030. Phone: (253) 850-9777. Providers update this record themselves, so call before visiting.
How can I verify Hosan Park, D.D.S's license?
NPPES lists Washington license number DE60722033, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.